Individual
MR. JEROME A MAISLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE, JONESBORO, GA 30236
(770) 603-3649
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002464
GA
Other
Enumeration date
09/26/2006
Last updated
10/01/2015
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